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中国现代手术学杂志  2018, Vol. 22 Issue (4): 295-297    DOI: 10.16260/j.cnki.1009-2188.2018.04.014
  临床论著 |
两种输尿管导管留置方式在输尿管镜治疗感染性输尿管结石中的应用#br#
谢杰,王强东,董振佳,肖旭,谢永峰
江苏省淮安市淮阴医院泌尿外科,淮安 223300
The Application of Internal and Paracalculous Ureteral Catheterization in the Ureteroscopic Lithotripsy for Infected Ureteral Stones#br# #br#
XIE Jie, WANG Qiangdong, DONG Zhenjia, XIAO Xu, XIE Yongfeng#br#
Department of Urology, Huaiyin Hospital of Huaian, Huaian 223300, Jiangsu, China
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摘要 [摘要]目的探讨内置输尿管导管与旁置输尿管导管在输尿管镜钬激光碎石术治疗感染性输尿管结石的应用效果。方法2015年2月~2017年1月我院收治感染性输尿管结石患者72例,随机分为两组,各36例,分别采用内置输尿管导管输尿管镜碎石术(内置组))和旁置输尿管导管输尿管镜碎石术(旁置组)。比较两组围手术期结果、结石清除率及术后并发症。结果内置组手术时间短于旁置组,并发症发生率低于旁置组,差异均有统计学意义(P<0.05),而两组碎石时间、结石清除率、术后短时低热(<38.5℃)及高热(>38.5℃)率比较均无统计学差异(P>0.05)。两组术后均无输尿管穿孔、黏膜撕脱发生。结论输尿管镜内置输尿管导管与旁置输尿管导管钬激光碎石术治疗感染性输尿管结石疗效相当,但内置输尿管导管碎石手术时间短,并发症少,安全有效,值得推广。

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谢杰
王强东
董振佳
肖旭
谢永峰
关键词:  输尿管结石  感染  输尿管镜检查  输尿管导管  碎石术  钬激光
    
Abstract: Abstract:ObjectiveTo investigate the effect of internal intubation and paracalculous ureteral catheterization during the ureteroscopic holmium laser lithotripsy for infected ureteral calculi.MethodsFrom February 2015 to January 2017, a total of 72 cases with infected ureteral calculi treated by ureteroscopic holmium lithotripsy in our hospital were randomly divided into two groups: 36 cases were intubated ureteral catheter internally (as the internal intubation group), and 36 cases were inserted ureteral catheter paracalculi (as the adjacent intubation group). The perioperative index, stone clearance rate and complication rate were compared between the two groups.ResultsThe operation time was obviously shorter and the complication rate was remarkable lower in the internal intubation group than those in the adjacent group, and the differences were statistically (P<0.05). There was no statistical difference in lithotripsy time, stonefree rate, lowergrade fever and hyperpyrexia of pyemia between the two groups. No ureteral perforation and mucous membrane avulsion were found.ConclusionBoth internal and adjacent ureteral catheterization can achieve similar effects during ureteroscopic laser lithotripsy, but the internal catheterization has shorter operation time and less complication, and it is deserved to popularize.

Key words:       ureteral calculi    infection    ureteroscopy    ureteral catheter    lithotripsy, holmium laser
               出版日期:  2018-08-26      发布日期:  2018-10-23      期的出版日期:  2018-08-26
ZTFLH:  R693.4  
基金资助: 
通讯作者:  谢杰,男,33岁,江苏省淮安市淮阴医院泌尿外科主治医师。   
作者简介:  谢杰,男,33岁,江苏省淮安市淮阴医院泌尿外科主治医师。
引用本文:    
谢杰, 王强东, 董振佳, 肖旭, 谢永峰. 两种输尿管导管留置方式在输尿管镜治疗感染性输尿管结石中的应用#br#[J]. 中国现代手术学杂志, 2018, 22(4): 295-297.
XIE Jie, WANG Qiangdong, DONG Zhenjia, XIAO Xu, XIE Yongfeng. The Application of Internal and Paracalculous Ureteral Catheterization in the Ureteroscopic Lithotripsy for Infected Ureteral Stones#br# #br#. Chinese Journal of Modern Operative Surgery, 2018, 22(4): 295-297.
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[1] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 168 -173 .
[2] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 174 -177 .
[3] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 178 -181 .
[4] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 182 -186 .
[5] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 187 -190 .
[6] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 191 -193 .
[7] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 194 -196 .
[8] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 197 -200 .
[9] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 201 -205 .
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